The Influence Of Core Beliefs On The Nursing Profession Essay

Mendes believes that every individual contains cultural, historical and religious factors that influence their self-portrayal, their world-viewing lens and their abilities to express emotions with others (2018). Doane & Varcoe determined that humans can be situated and constituted, where the experiences from several situations can give meaning to our world, as well as how we develop into our own person based off of history and learnings from previous generations (2005).The Influence Of Core Beliefs On The Nursing Profession Essay.  There are several beliefs, values and assumptions that everyone holds close to their heart, mine happen to be my value of friendship, my belief in constant change, and my beliefs in death/illness, which can be seen on my mandala number 11.

Friendship

Friendship is a relationship that grows from common beliefs, interests and understandings. I have chosen to represent friendship as two hearts intertwined as friendship is a value that I hold close to my heart (see Figure 1. ). Friendship is my main value as I suffer from autism and had a hard time developing friendships while growing up, therefore any friendships that I do make are very deep connections for me.

My experiences from school and family would be what gives meaning to my value of friendship. My experience with school as a young child has affected my view of the importance behind friendship as I always had a harder time understanding acceptable and non-acceptable behaviors as a child. This lack of understanding lead to me being nearly completely socially isolated from my fellow peers, until I grew up and developed an understanding of different perspectives other than my own. The Influence Of Core Beliefs On The Nursing Profession Essay. My family has also influenced my value of friendship, as I grew up in an English-speaking family surrounded by French. I had trouble communicating with others due to the language barrier. This lack of communicational abilities had led me to even further isolation until I could understand the language and communicate with others.

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These experiences and influences had altered my viewpoint on friendship where it takes several months to years to develop a strong connection. This altered viewpoint of friendship has also altered my thinking into assuming that when people attempt to get close to me in school or work, they are doing it out of a need for social interaction and not to develop a friendship as social interactions with these people rarely occur outside of those situations unless by accident. These factors have influenced my value of friendship to hold an ever deeper meaning and can affect my ability as a nurse to interact with patients, to identify their own personal beliefs and values of how they think they should be treated (Mendes, 2018).

Constant change

Change is the ability to alter one’s self to reflect certain beliefs, values or interests that they wish to express. I have chosen to represent my beliefs of constant change as a purple fruit tree, as values and beliefs are always in a constant motion of change, and the color of the tree is purple as it is commonly known to represent peace, independence and mystery, which I believe describes me as a person. My development of having constant change as a belief, stems from my autism and depression. My autism has affected the way I view the world and the way I have expressed my self throughout my life.

As a child, I had trouble understanding that everyone has their own viewpoint. I saw everything through my lens and never thought about how others might see things. My self-awareness of other people’s points of view developed when my brother one day decided that I was no longer worthy to play games with him or be in the same room as him, when previously I did everything with him. My lens continued to develop when I went through a phase of depression. I had felt so alone and tired that I no longer wanted to live and had to spend time in a psychiatric ward until I could be given anti-depressants. I developed an understanding of how people don’t always express their best, as certain situations can keep them from feeling their best. These situations have helped me become more open minded to how people have multiple layers to them, and that they can be expressed at anytime due to certain conditions they may be experiencing. This open mindedness can help me become a better nurse as, it can allow me to show compassion and dignity to those that are expressing hatred and sadness, and allow me to bring forth a happier, healthier side of the patient (Tetley, Dobson, Jack, Pearson, & Walker, 2016)

The purpose of this topic is to discuss regarding “In what way advanced speciality nurses’ personal values and beliefs should not interfere with the delivery of their nursing care when preparing the care of critically ill patient and family”.

The nursing role has changed much over the years. With the progress of health standards and professional care, nurses must have an understanding of individual’s cultural values and family relationships. The Influence Of Core Beliefs On The Nursing Profession Essay.

Content

Advanced speciality nurse or advanced practice nurse means the registered nurse having education beyond basic nursing education and certified by nationally recognized professional organization in a nursing speciality, or meeting criteria established by a Board of Nursing. The Board of Nursing establishes rules specifying which professional nursing organization certification can be recognized for advanced nurse and sets requirements of education, training, and experiences (Mosby’s medical dictionary, 2009).

Ethics and values are closely related which complicate the nurse’s balancing the ethical principles of the client in health care professionals. Values influence the development of belief and attitude rather than behaviours although they often indirectly influence behaviours. A value system is an individual’s collection of inner beliefs that guides the way the person’s act and helps determine the choices the person makes in life (Lois., 2005).

Cultural values refer to enduring ideals or belief systems to which a person or society is involved. Cultural practices identify specific nursing approaches on how nurses should provide care in the situation (Evelyn, 2001). The dimensions of culturally competent care are caring, cultural sensitivity, cultural knowledge and skills. Nurses can learn to become culturally competent in their care.

A therapeutic nurse-patient relationship is the foundation of nursing practice. It contributes to patient well being and their health. Conflict can interfere these collaborative relationship between the nurse and the patients’ families by different cultural values, beliefs and family relationships. Good communication skills and knowledge of cultural sensitivity in nurses can prevent conflict in caring patients.

There are different values and beliefs among people of different culture. In recent year there has been growing interest between religious belief and the component of life stress. Care of terminally ill patient is very difficult. However holistic nursing care can be achieved when there is thoughtful consideration and implementation of patient specific nursing action according to their psychosocial requirements.The Influence Of Core Beliefs On The Nursing Profession Essay.  Core beliefs and value system are held more strongly when people lose control over aspects of their life due to terminal illness (Thomas, 2001).

Among illness population, the association between religious belief and psychosocial adjustment has been more investigated among cancer patients. Another population frequently examined for the effects of religious belief on psychosocial adjustment has been chronically ill or hospitalized elderly. (Karolyn et al, 2001).

Nurses often care for clients whose value systems conflict with their self values and beliefs. For example, a patient with a value system of “grin and bear it” may be insulted by a nurse’s attempt to offer pain medication. In order to ascertain those things are meaningful to the patient, the nurse must have understanding of clients’ values system. The nurse should not impose personal values on the patients.

Attitudes and approach to death and dying vary among different peoples. Some are very accepting to death but others view dying people and death with fear. Some people prefer that their family member dies at home. The nurses are required to respect individuals and beliefs regardless of consequences. The moral standards include keeping promise, avoiding or preventing harm, and respecting person; these are principles that morally required and are consistent with the rules provided in our professional code of ethics.The Influence Of Core Beliefs On The Nursing Profession Essay.  The trend to approach ethical decision making using this four principles approach predisposes clinician to overlook other ethical obligations toward patients. (Marianne.M. et al, 2009).

When families face tough situation, including health problems, their religious belief and practice can help them fight feelings of helplessness to promote regaining a sense of control. For some families, spirituality can be a powerful and important source of strength. Nurses must accept, learn to expect and encourage increased participation of the patient and family in actual care without conflict with personal values and belief. Caring behaviour is very important but that went beyond to a more cultural expectation of caring with patient’s beliefs and values.

For example touching of the patient is part of serving in therapeutic relationship with patients but comforting by touching was considered by patients as not important caring behaviour. This may be considered to cultural taboos in some others religious beliefs and values especially the segregation of man and woman. This was apparent in male patient admitted to males ward but having both male and female nurses. However, touching female patients by female nurse was considered acceptable.

One of the most important aspects of nursing care for terminally ill patient is the development of therapeutic relationship between nurse, patient and even family members. According to Peplau, nursing is therapeutic in that it is a healing art, assisting an individual who is sick or in need of health care. Nursing can be viewed as an interpersonal process because it involves interaction between two or more individuals with a common goal. The Influence Of Core Beliefs On The Nursing Profession Essay.

The nurse’s as well as the patient’s culture, religion, race, educational background, beliefs, values and expectation all play a part in the nurse’s reaction to the patient. The same influencing factors play a part in the patient’s reaction to the nurse. It is important to recognised that each patient responds differently to nurses. Not every patient will communicate their feelings and needs. It is the responsibility of the nurse to keep the opportunity that communication to be opened.

The nurse must recognized that the patient is an individual not a diagnosis. The nurses must also respect the patients as well as their values and beliefs. Family members also need to feel a sense of caring from the nurse. Families, that are providing care to a patient who is terminally ill, express about fear and concern about their loved one. The nurse is the person who spend the most time and communicate with the family.

One of the most difficult situation in nursing practice is that, despise the best effort, the patient will die. The death may be brain cancer and severely road traffic accident. That situation ‘nothing more can be done patients’, who need comfort and care of everyone until their death. But end of life is always a complex process that involves not only the patient but also the patient’s family.

Patient and family have numerous question to the nurse and answering them involves sensitive disclosure from the nurse. Denial on the part of the patient and family members about seriousness of terminal illness has been barrier to discuss about end of treatment options (Richard. 2008). A nurse needs to be sensitive and concerns about the situation allowing patient’s family to reflect and react the situation. Terminally ill patients require specialized and sensitive care that addresses their physical, psychosocial, and spiritual needs. Ensuring the delivery of culturally sensitive care during the last stage of an individual’s life means a great deal to patients and families.

The process begins with when the patient and family receive the bad news about terminal illness.The Influence Of Core Beliefs On The Nursing Profession Essay.  The family’s fears about loss of their loved one often results in conflicts, which requires nurses to spend more time and energy. But the barrier of time constraints and excessive workload in nurse’s life has to become problems (Namasivayam, P. 2005). The nurses are confronted not only by the patient families’ emotion but also their own.

Another type of problem is on the withdrawal of medical treatment. There is a lot of conflict between patient, patient’s families and medical team members. In some cases the patient wants to withdrawal the treatment such as close monitoring, intravenous infusion, antibiotics but the family wants to carry the treatment. In this situation the nurse as a patient advocate has to think carefully ethical and legal balance between medical decision and patient with his or her family decision in end of life care.

It is very likely that individuals who are diagnosed as having cancer have some psychological and sociological problems in coping with traumatic situation. Both cancer patient and family members will suffer physically, psychosocially and spiritually in traumatic experiences. The patient can express various stress reactions. Such stressful reactions may be due to fear of treatment, or dying, degeneration of the various parts of the physiological function, difficulty in sleeping, helplessness, depression and many other underlying reactions of illness. Most families react to the news of cancer with great shock. Each member may experience extremely distressing emotions. The whole family system becomes painfully imbalanced and no one knows what to do. Family members avoid speaking about the fear, anger or death. The Influence Of Core Beliefs On The Nursing Profession Essay.

When the patient and family members are facing such a traumatic situation, they will make unreasonable demands regarding care and medical treatment. This is in conflict with the reality facing problem in nursing care. Conflict can arise in critical care settings as a result of differing cultural values and professional values. Nurses and families with different cultural background bring beliefs and values to the care situation that can have impact on the care process. The families want to maintain cultural beliefs while nurses are not sufficiently culturally aware.

A culturally competent nurse must develop cultural sensitivity. Cultural sensitivity is the broadest sense to be an awareness and utilization of knowledge related to ethnicity, culture, gender or sexual orientation in explaining and understanding situation and responses of individuals in their environment. It is important to assess each patient individually and not make cultural assumption about a patient’s beliefs or health practice (Connie, 2005). General knowledge about specific cultures can increase understanding. . It is possible to form a holistic cultural understanding of the individual and family regarding care at the end of life.

In assessing cultural beliefs, some other areas also need to be considered including the patients’ perception of illness and treatment, the social relationship including families, communication behaviours, family health care practice and beliefs, past experience with care and language. The Influence Of Core Beliefs On The Nursing Profession Essay. The individual’s or family’s past experiences with health care provider influences the patient’s continuation of use of health services. Understanding these experiences from the patient’s perspective can strengthen the relationship, and misconceptions and offensive behaviours can be avoided (Potter & Perry, 2005).

Often individual will follow traditional health practices before seeking the medical professional as a last solution. An understanding of cultural influences on the health practices enables the nurse to deal effectively with the patients and their families in care plan. It is important for the nurses to try understanding of the other party. Some religion prohibits the ingestion and transfusion of blood and blood products to their body. As a culturally competent nurses need to avoid compromising the care of patient because of ethnicity, culture, gender, spiritual values, sexuality, disability, age, economic, social, health status or any other background.

Another issue is related to language problems. When English is the second language, individuals may have more difficulty speaking and understanding English during times of stress and illness. To prevent interference in nursing care between nurses and patients, patient families’ need an interpreter during a health crisis. The interpreter should be the person who is officially appointed in health care setting. Utilizing an accepted and professional interpreter will promote a more accurate sharing of information and more open communication. The Influence Of Core Beliefs On The Nursing Profession Essay.

Conclusion

Nurses are health care professionals, educated to think critically, to solve the problems and to make decision. Nurses need to learn as much as possible about cultural beliefs, families structure and practices of patients in their care. Learn to show respect for the patients and their families by using cultural competency in care for critically ill patients. In that ways compliance will be greater when the treatment plan incorporates the patient’s cultural values and beliefs , and will decrease interference in nursing care between nurses’ beliefs and patient families’ beliefs.

No one becomes culturally competent overnight or with one or two hours of training; certain attitudes need to be learned, skills transmitted, and knowledge absorbed (California Endowment, 2003). Cultural competence involves attitude changes and the examining of personal biases. Skills that enhance a health care provider’s ability to recognize different cultural values, beliefs, and practices and to address these factors in interventions are likely to lead to more successful treatment outcomes (Bonder et al., 2001).

In conclusion there are differences in individual’s perception in health practices according to different family structure, different family relationships, different cultural values and beliefs. The Influence Of Core Beliefs On The Nursing Profession Essay. So advanced speciality nurses should not interfere with their values and beliefs in nursing care plan with families values and beliefs by understanding patients’ needs through cultural sensitivity.

A) Value is a general notion that describes the beliefs of a person or culture. A set of worth may be placed into a general understanding of a value system. Values are regarded subjective and vary across people and culture.

All individuals have dispositions, beliefs and values but the registered nursing codes of ethics require professionals to focus on the needs of their patients and to guarantee that their own value judgments do not hinder care provision and delivery. This holistic view, which includes the quality of a nurse, links with virtue ethics. Virtue ethics suggests that morally capable or virtuous people are those who have incorporate values that promote general human growth.

Values and beliefs are very important to the human spirit. Values and beliefs affect all areas of our lives and play an important role in health and coping with illness. Values and beliefs affect how we live and how we die. Values influence the choice we make throughout life, if they are wrong or right.The Influence Of Core Beliefs On The Nursing Profession Essay.  Ones personal value system is developed at early childhood. Most researchers believe that most of our values are well developed by the time we reach 10years of age. Values are based on the beliefs that are inculcated by our family, culture, church, media and peer groups while we were growing up.

Because we develop our values based on a special combination of time, place and experiences no two same persons have the same beliefs and values. People of the same age, cultural backgrounds are likely to share same belief and values. Every one of us find it very difficult to understand people whose values are different from ours. Each person thinks that his or her own beliefs and values are somehow better to other people’s own. As a nurse I should identify the special spiritual needs of my patient based on their religion because different religious beliefs and practices can vary widely

As a registered nurse this requires critical assessment of personal character and beliefs. If these qualities or competence are raised throughout my life and within my preparation for practice, then my habits and character traits that I possess should help my patient centered way to care.

(B)Using the Burford NDU model for structured reflection I will like to reflect back to the case where a 16 year old girl walked up to me in the hospital where I worked in Nigeria as a registered nurse asking me if there was any way I could help her after she was told by the doctor on duty that she needed her parents to be with her and give an informed consent before such procedure can be carried out. When she came to me I noticed she was so down and bitter but what really stroked me was her walking up to me if there was any way I could help her.The Influence Of Core Beliefs On The Nursing Profession Essay.

(C)In reflecting back this prompted me to ask this question, how she was feeling about her situation? It allowed me to assess how emotionally down she was feeling about her because as a nurse we are to put our patients feelings first. Through simple action such as giving her a listening ear I could see she was confused could hear her voice was flat and she was really frightened. The next cue question came up my mind which was how can I best help this young girl? After sharing my uncertainty about not knowing how best to help her, I also noticed she was anxious so I calmed her down by telling her about the ethics of the profession and that my values and beliefs cannot make me do otherwise.

(D)Nursing field had always been my childhood dream, I find the human body very fascinating as such, I wanted to be a nurse. In Nigeria where I grew up, I saw many sick and hurting people whenever I follow my mother to the hospital for my check up or hers. This sick people were always in pains, crying all the time and it always saddens my heart to see people in pain, but I could not help them. I am a very compassionate and caring person. As a nurse I want to help people achieve and maintain good health, make them feel better and special, let them know that someone cares about how they feel and helping them get well whatever the situation.

I choose nursing because I wanted a career where I will feel fulfilled and earn a decent living. The flexibility and freedom with the profession is awesome. The greatest accomplishment I always have with this noble profession is the feeling of knowing I always make a difference in people’s life. The Influence Of Core Beliefs On The Nursing Profession Essay. I believe nurses should be more caring and treat everybody under their care equally because the code of conduct states that no special treatment should be given to anyone, everybody should be treated equally. As a professional in the field of nursing, my character should be of good conduct, behavior and attitude. I possess a good character which makes me capable and safe for effective practice in the society without any supervision. As a young girl growing up, my mother has always sang it into my head that secrets should be kept secret. Growing up with this mind set made confidentiality a sounding part of the code that I value. Respecting people’s right to confidentiality and not disclosing patients’ information to anyone who does not have a right to it. Collaborating with patients in my care makes the work more interesting for me and my patient. It brings this harmony and understanding in the care process. Accountability is my watch word because as a nurse I have to act in the best interest of the people I am caring for. Taking responsibility for my actions and being transparent and open.

Knowing what my values are as a nurse is the starting point for a life-long relationship.It can also be gradually develop over time,a gap between what i value and how i act in line to what I say I value.Acting in a way that stresses the gap between the two can lead me into stress.Lack one being yourself often comes from a lack of awareness in the values or beliefs at the core of who I am. The Influence Of Core Beliefs On The Nursing Profession Essay.

Futhermore when we do not believe in who we are and what we believe and value,difficulties and changes are often a threat.

A good nurse gives meaning to others through strengthening shared values that are not in line with the group shared values for practice.When values are not in focus strength can become easily gone,making it difficult to motivate deep real values,provided an avenue for continuous growth that takes us towards our vision.Knowing what my values and belief are is only the beginning of processes for a great change.Placing values and beliefs into practice entales overcoming a number of obstacles which exist in me and my workplace.

(E)Multicultural awareness involves a personal knowledge of cultural diversity; such knowledge gives a sure and better approach to communication and interactions between groups of people in a multicultural setting. It allows a third alternative to judgments of good or bad between two culturally different persons or groups in conflict, because it explains behavior in the context of the various culture involved. Culture is not an obscure or exotic label attached to people and places.

Culture controls health care decisions , practices and propel the way we react to illness and pain.For example in cultures where they do not eat raw foods,the rate of shigellosis may not be as high as that of culture where they consume raw meat and fish. Cultural taboos against consuming proteinous food during pregnancy has a destructive and bad effect on the growing fetous.Cultural values shapes human responses to illness and put the person in a situation if the individual will look for professional care when ill and abide to prescribed treatment.

Beliefs and values affects the way about various aspects of health. Patients always tend to define wellness and illness in the believe of their own culture ( 1991).Belief and cultural sensitivity is very vital when caring for patient .Nurses must be able to give culturally necessary care to diverse population of clients. Cultural differences present special challenges for nurses who must give care that does not tally with personal beliefs and values.The Influence Of Core Beliefs On The Nursing Profession Essay.  Nurses caring for patients who are different from them must remember to find out how the patient views the illness, including the importance that the patient assigns to the illness. The nurse must respect individual differences. For example a Jehovah’s Witness that refuses blood transfusion while on admission should be respected with his or her belief

(F)Most conflicts start within the structure and function of an organization due to the management and policy style, procedures that causes them. These are called organizational conflict. In this type of conflict, the leader’s behavior and role is very important to both the root of the conflict and to the solving of the issue. In complex situations that require the management of care, there are sometimes when a leader has to deal with not planned crises and will need to settle conflicts between staff and in interactions with clients and their families.

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A good leader is the one who only can deal with events in such manner that causes less of disruption, but is able to stop situations from happening in the first place. Taking example from the NMC essential ability clusters, registered nurses are expected to respond very well to feedback from clients, the public and a big range of sources as a channel for learning and development. It goes on to say that this involves nurses responding very well and gives a feedback by way of writing down of complaints and seeking for opportunities to share with others so that they learn from future practice. Good leaders of care not only should have skill in dealing with situations of conflict, but also be able to plan ahead so that such situation does not come up again in the future. Parsley and Corrigan (1999) identified that ensuring a zero-defect the goal should be to totally eliminate all mistakes that happened so that no complaints will be necessary. The Influence Of Core Beliefs On The Nursing Profession Essay.

Although the handling of problem is one of a leader of care occupying the role of disturbance handler, there are some few elements to how one can practice their management skills that could be common to many other cases involving unplanned crisis .This may involve a method to ones practice which is supported by honesty and ethical principles(Beauchamp &Childress 2001) and guided by external reality and established procedure. In a case scenario where the nurses I worked with always wanted to force their beliefs on patients I managed myself and became a leader of my own personal practice by protecting my patient’s right and belief.

(G)As a result of learning and writing assignments on the unit course, I have learn a lot of positive behaviors that will help and guide my in future and all through my nursing practice carrier .Reading the Nursing and Midwifery code of conduct and making a note out of it has really helped me to remember all the codes I forgot. I would look back and self assess myself and my behavior and say I have provided care to a satisfactory standard by abiding to all the rules of the code. The Influence Of Core Beliefs On The Nursing Profession Essay.